1879 BEACH AVE - HVAC p`S, CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
MECHANICAL HVAC PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-MECH-871
Job Type: MECHANICAL HVAC ONLY
Description: 1 CU 1 AHU 4 TONS
Estimated Value: $7,408.00
Issue Date: 4/13/2016
Expiration Date: 10/10/2016
PROPERTY ADDRESS:
Address: 1878 BEACH AVE
RE Number: 169542-0606
PROPERTY OWNER:
Name: WALLS, THOMAS D
Address: 1878 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: FLORIDA HOME AIR COND DBA ARS
Address: 4211 EMERSON ST QA DENNIS M BROWN
Phone: 904-803-9329
PERMIT INFORMATION: Sticker for overcurrent protection must be on A/C equipment prior to
inspection. Failure to comply will result in a failed inspection and reinspect fees. No
exceptions.
FEES:
Trade Permit Base Fee $55.00
State Mech DCA Surcharge $2.00
State Mech DBPR Surcharge $2.00
Furnaces and Heating $24.00
AC and Refrigeration $32.00
Total Payments: $115.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
/ .p �U;7
Ph (904) 247-5826 Fax (904) 247-5845
/JOB ADDRESS: 0 71 L H//-S //2‘' c r PERMIT#
PROJECT VALUE $ 7 i yo I
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION I'(--/
Air Conditioning: Unit Quantity 1 Tons Per Unit yo REQUIRED
Heat: Unit Quantity 1 BTU's Per Unit 4e7j OU Seer Rating / 7. o
Duct Systems: Total CFM REQUIRED
FIRE PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
1 Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
I FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty Automobile Lifts
Gas Piping Outlets — Boilers BTU's
Elevators/Escalators
i ALL OTHER GAS PIPING Heat Exchanger
Quantity of Outlets Pumps
#Vented Wall Furnaces Refrigerator Condenser BTU's
#Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
OTHER: L )c-1.3 77.-(, C 4,ce ,or /1v4c -5/'. 1 syf. ,C/4'4-/---) yT/ir77&,-
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction.
Property Owners Name IA A T// A LL' ' 7Avzo or
de Phone Number j°y .2Y/'y`7V3
Mechanical Company 1Loi/o 4 /4 f 4' Office Phone7TYf" Fax 772- Y 7?
Co. Address: yL/( Z111,Gritio-' J 7 City 3/0c State/L-4- Zip 7 0 7
License Holder (Print): 3, n r` '-J 0 - ti State Certification/Registration#C IOC/Z.t/9J7J5 2:-)
Notarized Signature of License Holder '`
Sworn and subscribed before me is _ 'W I a of '--' ' 20
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,‘ _ c�l • ;:, Signature of Notary Public iik. I
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